Daniel K Jones, PSYD
Individual provider Active NPI Psychologist · Kuttawa, KY
NPI 1295818292 · NPPES record last updated May 4, 2019
Key facts
- NPI
- 1295818292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 130806 (KY)
- Practice address
- 68 Cedar Street
PO Box 250
Kuttawa, KY 42055-0250 - Phone
- (270) 601-4235
- Fax
- (270) 350-4673
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
68 Cedar St
Kuttawa, KY 42055-6287
Phone (270) 601-4235
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040519001502 | KY | Practitioner - Clinical Psychologist | 6901897883 |
Receives reassigned benefits from 7 practitioners Practice locations: Kuttawa, KY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 130806 | KY | Yes |
Addresses
Primary practice location
68 Cedar Street
PO Box 250
Kuttawa, KY 42055-0250
Mailing address
PO Box 250
Kuttawa, KY 42055-0250
Phone (270) 601-4235
Other practice location 1
1840 Lantaff Blvd Ste 100
Madisonville, KY 42431-9403
Phone (270) 601-4235
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100224250 | Medicaid | KY |
Other providers in Kuttawa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.